Electronic Health Record U–Turn: Are Va and Dod Headed in the Wrong Direction?

Total Page:16

File Type:pdf, Size:1020Kb

Electronic Health Record U–Turn: Are Va and Dod Headed in the Wrong Direction? ELECTRONIC HEALTH RECORD U–TURN: ARE VA AND DOD HEADED IN THE WRONG DIRECTION? HEARING BEFORE THE COMMITTEE ON VETERANS’ AFFAIRS U.S. HOUSE OF REPRESENTATIVES ONE HUNDRED THIRTEENTH CONGRESS FIRST SESSION WEDNESDAY, FEBRUARY 27, 2013 Serial No. 113–6 Printed for the use of the Committee on Veterans’ Affairs ( U.S. GOVERNMENT PRINTING OFFICE 79–941 WASHINGTON : 2013 For sale by the Superintendent of Documents, U.S. Government Printing Office Internet: bookstore.gpo.gov Phone: toll free (866) 512–1800; DC area (202) 512–1800 Fax: (202) 512–2104 Mail: Stop IDCC, Washington, DC 20402–0001 VerDate Aug 31 2005 13:49 Nov 25, 2013 Jkt 000000 PO 00000 Frm 00001 Fmt 5011 Sfmt 5011 Y:\113THC~1\FC\2-27-13\GPO\79941.TXT LEN VACREP180 with DISTILLER COMMITTEE ON VETERANS’ AFFAIRS JEFF MILLER, Florida, Chairman DOUG LAMBORN, Colorado MICHAEL H. MICHAUD, Maine, Ranking GUS M. BILIRAKIS, Florida CORRINE BROWN, Florida DAVID P. ROE, Tennessee MARK TAKANO, California BILL FLORES, Texas JULIA BROWNLEY, California JEFF DENHAM, California DINA TITUS, Nevada JON RUNYAN, New Jersey ANN KIRKPATRICK, Arizona DAN BENISHEK, Michigan RAUL RUIZ, California TIM HUELSKAMP, Kansas GLORIA NEGRETE MCLEOD, California MARK E. AMODEI, Nevada ANN M. KUSTER, New Hampshire MIKE COFFMAN, Colorado BETO O’ROURKE, Texas BRAD R. WENSTRUP, Ohio TIMOTHY J. WALZ, Minnesota PAUL COOK, California JACKIE WALORSKI, Indiana HELEN W. TOLAR, Staff Director and Chief Counsel Pursuant to clause 2(e)(4) of Rule XI of the Rules of the House, public hearing records of the Committee on Veterans’ Affairs are also published in electronic form. The printed hearing record remains the official version. Because electronic submissions are used to prepare both printed and electronic versions of the hearing record, the process of converting between various electronic formats may introduce unintentional errors or omissions. Such occur- rences are inherent in the current publication process and should diminish as the process is further refined. ii VerDate Aug 31 2005 13:49 Nov 25, 2013 Jkt 000000 PO 00000 Frm 00002 Fmt 0486 Sfmt 0486 Y:\113THC~1\FC\2-27-13\GPO\79941.TXT LEN VACREP180 with DISTILLER C O N T E N T S February 27, 2013 Page Electronic Health Record U–Turn: Are VA and DoD Headed In The Wrong Direction? .............................................................................................................. 1 OPENING STATEMENTS Hon. Jeff Miller, Chairman, Full Committee ........................................................ 1 Prepared Statement of Chairman Miller ........................................................ 34 Hon. Michael Michaud, Ranking Minority Member, Full Committee ................. 2 Prepared Statement of Hon. Michaud ............................................................ 35 WITNESSES Hon. Roger W. Baker, Assistant Secretary for Information and Technology and Chief Information Officer, U.S. Department of Veterans Affairs ............. 4 Prepared Statement of Mr. Baker and Dr. Petzel ......................................... 36 Accompanied by: Hon. Robert A. Petzel, M.D., Under Secretary for Health, Veterans Health Administration, U.S. Department of Veterans Affairs Hon. Jonathan A. Woodson, Assistant Secretary of Defense for Health Affairs, Director, TRICARE Management Activity, U.S. Department of Defense ....... 6 Prepared Statement of Mr. Woodson and Hon. Elizabeth McGrath ............ 38 Accompanied by: Hon. Elizabeth A. McGrath, Deputy Chief Management Officer, U.S. Department of Defense Valerie C. Melvin, Director, Information Management and Technology Re- sources Issues, U.S. Government Accountability Office ................................... 7 Prepared Statement of Ms. Melvin ................................................................. 40 Jacob Gadd, Deputy Director for Health Care, The American Legion ................ 9 Prepared Statement of Mr. Gadd .................................................................... 49 Executive Summary of Mr. Gadd .................................................................... 51 QUESTIONS FOR THE RECORD Letter and Questions From: Hon. Jeff Miller, Chairman, To: Hon. Eric K. Shinseki, Secretary, U.S. Department of Veterans Affairs .............................. 51 Responses From: Department of Veterans Affairs, To: Hon. Jeff Miller, Chair- man ........................................................................................................................ 53 Letter and Questions From: Hon. Michael Michaud, Ranking Minority Mem- ber, To: Hon. Chuck Hagel, Secretary of Defense ............................................. 57 Question #1 From: Hon. Michael Michaud, Ranking Minority Member, To: DCMO McGrath ................................................................................................... 58 Question #2 From: Hon. Michael Michaud, Ranking Minority Member, To: DCMO McGrath ................................................................................................... 58 Question #3 From: Hon. Michael Michaud, Ranking Minority Member, To: DCMO McGrath ................................................................................................... 59 Question #4 From: Hon. Michael Michaud, Ranking Minority Member, To: DCMO McGrath ................................................................................................... 62 Question #5 From: Hon. Beto O’Rourke, To: Hon. Jonathan A. Woodson .......... 62 Question #6 From: Hon. Beto O’Rourke, To: Hon. Jonathan A. Woodson .......... 63 Question #7 From: Hon. Beto O’Rourke, To: Hon. Jonathan A. Woodson .......... 63 Question #8 From: Hon. Beto O’Rourke, To: Hon. Jonathan A. Woodson .......... 64 Question #9 From: Hon. Beto O’Rourke, To: Hon. Jonathan A. Woodson .......... 64 Question #10 From: Hon. Beto O’Rourke, To: Hon. Jonathan A. Woodson ........ 65 Letter From: Hon. Michael Michaud, Ranking Minority Member, To: Hon. Gene L. Dodaro, Comptroller General of the United States, Government Accountability Office ............................................................................................ 65 iii VerDate Aug 31 2005 13:49 Nov 25, 2013 Jkt 000000 PO 00000 Frm 00003 Fmt 0486 Sfmt 0486 Y:\113THC~1\FC\2-27-13\GPO\79941.TXT LEN VACREP180 with DISTILLER Page Question From: Hon. Beto O’Rourke, To: Ms. Valerie C. Melvin, Director, Information Management and Technology Resources Issues, U.S. Govern- ment Accountability Office .................................................................................. 65 Letter and Response From: Ms. Valerie C. Melvin, Director, Information Management and Technology Resources Issues, U.S. Government Account- ability Office, To: Hon. Michael Michaud, Ranking Minority Member ........... 65 iv VerDate Aug 31 2005 13:49 Nov 25, 2013 Jkt 000000 PO 00000 Frm 00004 Fmt 0486 Sfmt 0486 Y:\113THC~1\FC\2-27-13\GPO\79941.TXT LEN VACREP180 with DISTILLER ELECTRONIC HEALTH RECORD U–TURN: ARE VA AND DOD HEADED IN THE WRONG DI- RECTION? Wednesday, February 27, 2013 U.S. HOUSE OF REPRESENTATIVES, COMMITTEE ON VETERANS’ AFFAIRS, Washington, D.C. The Committee met, pursuant to notice, at 9:15 a.m., in Room 334, Cannon House Office Building, Hon. Jeff Miller [Chairman of the Committee] presiding. Present: Representatives Miller, Lamborn, Roe, Denham, Run- yan, Huelskamp, Coffman, Wenstrup, Cook, Walorski, Michaud, Takano, Brownley, Kirkpatrick, McLeod, Kuster, O’Rourke, Walz. OPENING STATEMENT OF CHAIRMAN MILLER The CHAIRMAN. The Committee will come to order. I want to thank everybody for being with us this morning to our hearing entitled Electronic Health Record U–Turn: Are VA and DoD Headed in the Wrong Direction? Today’s hearing is prompted by the recent announcement by the Departments of Defense and Veterans Affairs that they would no longer be developing a single integrated electronic health record or IEHR. The announcement earlier this month was surprising to this Committee and Congress given the number of previous statements that the health record was coming along as planned even on an ac- celerated timeline. And the other surprise about VA and DoD’s announcement was that this Committee heard about this the very first time by pub- lished news reports. While it is not the first time this has happened, it is equally dis- appointing given the number of times that this Committee has pledged to work with both departments in support of making the electronic record a reality. Now, in late 2010, both departments co-announced an integrated electronic health record as a single solution to our common require- ments. In June 2012, the two departments set an expected timeline of a 2017 rollout for that record. In July of 2012, both secretaries testified before this Committee and the Armed Services Committee that reinforcing a single inte- grated record was the way forward and that their respective de- partments would achieve that goal together. This past December, it was stated that VA and DoD could roll out the health record even faster without much supporting detail. (1) VerDate Aug 31 2005 13:49 Nov 25, 2013 Jkt 000000 PO 00000 Frm 00005 Fmt 6633 Sfmt 6633 Y:\113THC~1\FC\2-27-13\GPO\79941.TXT LEN VACREP180 with DISTILLER 2 The latest news, a mere two months later, has us asking again whether even the original 2017 timeline is a realistic timeline. The end project, will it deliver the same level of integration for transitioning servicemembers? Interoperable is not the same as in- tegrated. While I understand that information can still be shared, VA and DoD have to explain to this Committee, to this
Recommended publications
  • Management of Large Sets of Image Data Capture, Databases, Image Processing, Storage, Visualization Karol Kozak
    Management of large sets of image data Capture, Databases, Image Processing, Storage, Visualization Karol Kozak Download free books at Karol Kozak Management of large sets of image data Capture, Databases, Image Processing, Storage, Visualization Download free eBooks at bookboon.com 2 Management of large sets of image data: Capture, Databases, Image Processing, Storage, Visualization 1st edition © 2014 Karol Kozak & bookboon.com ISBN 978-87-403-0726-9 Download free eBooks at bookboon.com 3 Management of large sets of image data Contents Contents 1 Digital image 6 2 History of digital imaging 10 3 Amount of produced images – is it danger? 18 4 Digital image and privacy 20 5 Digital cameras 27 5.1 Methods of image capture 31 6 Image formats 33 7 Image Metadata – data about data 39 8 Interactive visualization (IV) 44 9 Basic of image processing 49 Download free eBooks at bookboon.com 4 Click on the ad to read more Management of large sets of image data Contents 10 Image Processing software 62 11 Image management and image databases 79 12 Operating system (os) and images 97 13 Graphics processing unit (GPU) 100 14 Storage and archive 101 15 Images in different disciplines 109 15.1 Microscopy 109 360° 15.2 Medical imaging 114 15.3 Astronomical images 117 15.4 Industrial imaging 360° 118 thinking. 16 Selection of best digital images 120 References: thinking. 124 360° thinking . 360° thinking. Discover the truth at www.deloitte.ca/careers Discover the truth at www.deloitte.ca/careers © Deloitte & Touche LLP and affiliated entities. Discover the truth at www.deloitte.ca/careers © Deloitte & Touche LLP and affiliated entities.
    [Show full text]
  • Examples of the Electronic Health Record (EHR)
    Examples of the Electronic Health Record (EHR) What is Biomedical & Health Informatics? William Hersh Copyright 2020 Oregon Health & Science University Examples of the EHR • Using the Veterans Health Information Systems and Technology Architecture (VistA) • Why VistA? – State-of-the-art EHR that has transformed healthcare in the Veteran’s Health Administration (VHA) (Perlin, 2006; Byrne, 2010) – Not that pretty, but has all of the modern features of the EHR, e.g., clinical decision support (CDS), computerized provider order entry (CPOE), etc. – Distributed under open-source model, unlike most other vendors who do not even allow screen shots to be shown outside their customers’ institutions • Fascinating story (Allen, 2017), but VistA now being phased out in favor of Cerner EHR adopted by Department of Defense (VA, 2017) – https://www.ehrm.va.gov/ WhatIs5 2 1 Some details about VistA • Server written in M (formerly called MUMPS), accessed via command-line interface – Runs in commercial Intersystems Cache (on many platforms) or open-source GT.M (Linux only) • Client (called CPRS) written in Delphi and providers graphical user interface – Only runs on Windows (just about all versions) WhatIs5 3 Logging on to CPRS, the front end to VistA WhatIs5 4 2 Choosing a patient WhatIs5 5 Cover sheet – overview WhatIs5 6 3 Drilling down to details of a problem WhatIs5 7 Details of an allergy WhatIs5 8 4 Viewing vital signs over time WhatIs5 9 More details on problems WhatIs5 10 5 List of active orders WhatIs5 11 Viewing the patient’s notes WhatIs5 12
    [Show full text]
  • Debian Med Integrated Software Environment for All Medical Applications
    Debian Med Integrated software environment for all medical applications Andreas Tille 27. February 2013 When people hear for the first time the term ‘Debian Med’ there are usually two kinds of misconceptions. Let us dispel these in advance, so as to clarify subsequent discussion of the project. People familiar with Debian as a large distribution of Free Software usually imag- ine Debian Med to be some kind of customised derivative of Debian tailored for use in a medical environment. Astonishingly, the idea that such customisation can be done entirely within Debian itself is not well known and the technical term Debian Pure Blend seems to be sufficiently unknown outside of the Debian milieu that many people fail to appreciate the concept correctly. There are no separate repositories like Personal Package Archives (PPA) as introduced by Ubuntu for additional software not belong- ing to the official distribution or something like that – a Debian Pure Blend (as the term ’pure’ implies) is Debian itself and if you have received Debian you have full De- bian Med at your disposal. There are other Blends inside Debian like Debian Science, Debian Edu, Debian GIS and others. People working in the health care professions sometimes acquire another miscon- ception about Debian Med, namely that Debian Med is some kind of software primarily dedicated to managing a doctor’s practice. Sometimes people even assume that people assume the Debian Med team actually develops this software. However, the truth about the Debian Med team is that we are a group of Debian developers hard at work incor- porating existing medical software right into the Debian distribution.
    [Show full text]
  • Comparison of Open-Source Electronic Health Record Systems Based on Functional and User Performance Criteria
    Original Article Healthc Inform Res. 2019 April;25(2):89-98. https://doi.org/10.4258/hir.2019.25.2.89 pISSN 2093-3681 • eISSN 2093-369X Comparison of Open-Source Electronic Health Record Systems Based on Functional and User Performance Criteria Saptarshi Purkayastha1, Roshini Allam1, Pallavi Maity1, Judy W. Gichoya2 1Department of BioHealth Informatics, Indiana University–Purdue University Indianapolis, Indianapolis, IN, USA 2Dotter Institute, Oregon Health and Science University, Portland, OR, USA Objectives: Open-source Electronic Health Record (EHR) systems have gained importance. The main aim of our research is to guide organizational choice by comparing the features, functionality, and user-facing system performance of the five most popular open-source EHR systems. Methods: We performed qualitative content analysis with a directed approach on recently published literature (2012–2017) to develop an integrated set of criteria to compare the EHR systems. The functional criteria are an integration of the literature, meaningful use criteria, and the Institute of Medicine’s functional requirements of EHR, whereas the user-facing system performance is based on the time required to perform basic tasks within the EHR system. Results: Based on the Alexa web ranking and Google Trends, the five most popular EHR systems at the time of our study were OSHERA VistA, GNU Health, the Open Medical Record System (OpenMRS), Open Electronic Medical Record (OpenEMR), and OpenEHR. We also found the trends in popularity of the EHR systems and the locations where they were more popular than others. OpenEMR met all the 32 functional criteria, OSHERA VistA met 28, OpenMRS met 12 fully and 11 partially, OpenEHR-based EHR met 10 fully and 3 partially, and GNU Health met the least with only 10 criteria fully and 2 partially.
    [Show full text]
  • Open Source Et Gestion De L'information Médicale : Aperçu Des Projets Existants
    Open source et gestion de l'information médicale : aperçu des projets existants Ateliers CISP Club 2011 – Alexandre BRULET Open Source : bref historique... 1969 : UNIX (Bell Labs°) 1975 : distribué à des universités pour « fins éducatives » avec les codes sources... 1977 : projet BSD 1984 : projet GNU (R. Stallman) (sources partagées) 1985 : Free Software Fondation (cadre légal – licence GPL) 1989 : licence BSD modifiée (open source) 1991 : noyau GNU/Linux ? OS dérivés (NetBSD, FreeBSD, SunOS ...) 1993 : Slackware 1993 : Debian 1994 : Red Hat > 50 OS dérivés > 100 OS dérivés 1998 : MPL (ex : SUSE) > 50 OS dérivés (Knopix, Ubuntu...) (Mandriva, Fedora ...) 1999 : licence Apache UNESCO 2004 : logiciels libres patrimoine de l'humanité (…) > 35 licences libres recensées sur wikipédia (PHP, Cecil, MIT, CPL, W3C, etc.) Open source : un fonctionnement communautaire ● La « pyramide » Linux : développeurs / 'maintainers' / chefs de projet sys USB net (...) L. Torvalds / A. Morton ● Système de «patchs» : publics, signés, discutés, soumis, (approuvés) ● Versions stables régulières et archivées (mirroirs) ● Système de «paquets» permettant la cohérence des OS ● Mode de fonctionnement repris par la plupart des distributions basées sur Linux ainsi que leurs « filles » : Debian → Ubuntu, Slackware → Zenwalk, RedHat → Fedora, etc. ● Idem pour les logiciels (xfce/gnome/kde, OOo, Gimp, Firefox, etc.) Le monde open source : un immense agrégat de communautés... OS OS OS Projets GNU OS OS OS Noyau OS OS OS Noyau OS OS Projets BSD Programme open source Programme propriétaire Système OS d'exploitation Quid des logiciels médicaux ? Petit tour du monde de l'open source médical à partir d'une liste proposée par Wikipédia. 1. Logiciels médicaux francophones : MedinTux ● Petite communauté depuis 2005 (marseille), licence CeCiLL ● DMI cabinet / hôpital - objectif = ergonomie ● Programmes serveurs et clients, consultation web possible.
    [Show full text]
  • Case Studies of Vista Implementation— United States and International
    39251_CH09_223_284 11/27/06 5:26 PM Page 223 CHAPTER 9 Case Studies of VistA Implementation— United States and International “VHA’s integrated health information system, including its framework for using performance measures to improve quality, is considered one of the best in the nation.” Institute of Medicine (IOM) Report, “Leadership by Example: Coordinating Government Roles in Improving Health Care Quality, 2002” Introduction The U.S. Department of Veterans Affairs (VA) has developed and imple- mented a comprehensive health information system and EHR system known as VistA, which was built from the ground up with a clinical focus. Many of the commercial off-the-shelf (COTS) health information systems in the private sector today were designed from a financial perspective and now are being reengineered to address medical and clinical informatics requirements. The VistA system is a proven product and can be readily adapted for use in acute care, ambulatory, and long-term care settings. It has been used in public and private healthcare provider organizations across the United States and in a number of international settings. 223 39251_CH09_223_284 11/27/06 5:26 PM Page 224 224 CASE STUDIES OF VISTA IMPLEMENTATION—UNITED STATES AND INTERNATIONAL Table 9-1 VistA Software Modules VistA Software Packages Pharmacy: Inpatient Medications Health Data Systems Pharmacy: Inpatient Medications— Automated Medical Information Exchange Intravenous (IV) (AMIE) Pharmacy: Inpatient Medications— Incident Reporting Unit Dose (UD) Lexicon Utility Pharmacy:
    [Show full text]
  • Kitware Source Issue 21
    SOFTWARE DEVELOPER’S QUARTERLY Issue 21 • April 2012 Editor’s Note ........................................................................... 1 PARAVIEW 3.14 RELEASED In late February, Kitware and the ParaView team released Recent Releases ..................................................................... 1 ParaView 3.14. This release features usability enhancements, improvements to the Plugin framework, new panels, and ParaView in Immersive Environments .................................. 3 more than 100 other resolved issues. Teaching Open Source .......................................................... 4 ParaView 3.14 features a redesigned Find Data dialog and Color Editor. The updated Find Data dialog makes it possible ParaView Query Selection Framework................................. 7 to use complex queries to select elements, including combin- ing multiple test cases with Boolean operations. The Color Ginkgo CADx: Open Source DICOM CADx Environment .... 8 Editor, used to edit lookup tables or color tables for scalar mapping, now enables independent editing of the color and Code Review, Topic Branches and VTK ................................. 9 opacity functions. Video Analysis on Business Intelligence, ParaView’s charting capabilities have been extended with a Studies in Computational Intelligence ............................... 11 new scatter plot matrix view and the ability to visualize mul- tiple dimensions of data in one compact form. This improved The Visible Patient ..............................................................
    [Show full text]
  • Implementing an Open Source EMR in a Nursing Informatics Course
    Implementing an Open Source EMR in a Nursing Informatics Course Nina Multak Emad Khazraee Michelle Rogers Prudence Dalrymple [email protected] [email protected] [email protected] [email protected] Drexel University Abstract Electronic medical record (EMR) systems are being implemented widely in hospital and office based settings. This technology is becoming a standard documentation modality for inpatient and outpatient clinical settings. While practicing clinicians have learned to use these systems with the benefit of institutional or practice based training, the educational benefit of providing EMR training to students prior to their exposure to the clinical environment has not been widely explored. This preliminary research evaluated multiple EMR systems for educational use in a nursing school curriculum. EMR training including classroom lectures, computer based training sessions and practice with interdisciplinary medical simulation are incorporated in this educational program, providing students access to an EMR system before using one with actual patients. The ADDIE model of systemic instructional design was utilized for this study. Additionally, deliberate practice, an evidence-based construct grounded in information processing and behavioral theories of skill acquisition and maintenance guided the design of this study. Preliminary results reveal a high level of learner interest and satisfaction with the training methodology. Further exploration of EMR systems and the impact this component has on nursing education and practice are planned. Keywords: education, EMR, simulation, documentation Introduction The Institute of Medicine Committee on Data Standards for Patient Safety reports evidence that improved clinical efficiencies, patient safety, and quality care outcomes can be promoted by having an effectively structured and implemented EMR1.
    [Show full text]
  • Report on Existing Open-Source Electronic Medical Records
    UCAM-CL-TR-768 Technical Report ISSN 1476-2986 Number 768 Computer Laboratory Report on existing open-source electronic medical records Cecily Morrison, Adona Iosif, Miklos Danka February 2010 15 JJ Thomson Avenue Cambridge CB3 0FD United Kingdom phone +44 1223 763500 http://www.cl.cam.ac.uk/ c 2010 Cecily Morrison, Adona Iosif, Miklos Danka Some figures in this document are best viewed in colour. If you received a black-and-white copy, please consult the online version if necessary. Technical reports published by the University of Cambridge Computer Laboratory are freely available via the Internet: http://www.cl.cam.ac.uk/techreports/ ISSN 1476-2986 INTRODUCTION One of the responsibilities of the World Health Organisation (WHO) is to contain outbreaks of emerging viral disease, such as Ebola or H1N1 (swine flu). To more quickly tackle outbreaks and perhaps even prevent the spread of disease, the WHO organisation needs ways to gain reliable data about diseases as soon as an outbreak is identified as well as to disseminate guidelines of care based on that data. Information Technology (IT) has been considered a good option to do this, although myriad problems of data standards has slowed the process. Recently experts on emerging viral diseases met as part of the EViDence Project to discuss and stipulate what such an IT system might do. This report, an adjunct to that meeting, considers whether there is an existing open-source Clinical Information Systems (CIS) that meets these requirements. EViDence project In October 2009, clinical experts
    [Show full text]
  • CSE 5810 Team Project.Docx
    CSE 5810 Introduction to Biomedical Informatics Team 1 Project Health Information Exchange between alternative EMR platforms Team Members Platforms GNUmed Albayram, Yusuf Baihan, Mohammed CottageMed Devoe, Gordon OpenEHR Etim, David OpenEMR Martin, Robert SMART Platform Moledina, Saahil OSCAR McMaster Papavasileiou, Ioannis OpenMRS Rivera Sanchez, Yaira FreeMED Sanzi, Eugene WorldVistA Project Description: This team development project focuses on large scale issues related to health information technology (HIT) systems such as electronic medical records (EMRs), and personal health records (PHRs). The EMR platforms in this paper are discussed in terms of the capabilities of the individual systems and need for them to interact and collaborate with each other. There is a need to send information among these systems and allow information to be passed between patients and providers, providers exchanging information to other providers, and providers to larger organizations such as clinics, hospitals, and laboratories. The ability to exchange information at different levels is critical. There could be individual records exchanged as well as programmatic exchange of entire record sets or subsets through APIs, or exchange of summary or statistical data. We are investigating nine platforms and the way that information can be effectively exchanged. GNUmed GNUmed is a free electronic medical record (EMR) for Linux, Microsoft Windows and Mac OS X and it aims to provide medical software that respects the privacy of patients and that is based on open standards. GNUmed assists and improves longitudinal care (specifically in ambulatory settings, i.e. multi-professional practices and clinics). It is developed by a handful of medical doctors and programmers from all over the world.
    [Show full text]
  • Table of Contents Recent Releases Editor's Note
    Issue 29Issue • April24 • Jan2013 2014 TABLE OF CONTENTS RECENT RELEASES Editor's Note ............................................................................... 1 VTK 6.1.0 RELEASED Kitware and the entire VTK team are happy to announce the Recent Releases ......................................................................... 1 release of VTK 6.1.0. The release fixes bugs and adds fea- tures on top of the more modular code structure of version Use of CMake at Canonical ........................................................ 2 6.0. The source, data, and new vtkpython binary packages can be downloaded from VTK's website. Meta-configuration of C/C++ projects with CMake .................. 4 This release introduces the vtkDax accelerator module and vtkSMP multi-threaded filters. The Dax interface allows VTK Packaging VistA for Debian ....................................................... 7 to offload work to Sandia's Dax framework for GPGPU and multi-core data processing. In addition, Inria's vtkSMP brings CMake and the Wolfram Language ......................................... 10 a framework for fine-grained work-stealing parallel process- ing inside of unstructured data processing filters. Writing STL Files from ITK for 3D Printing .............................. 13 Also in this release, VTK takes a giant leap onto the web processing frontier. ParaView's core web interface and UVis: Web-based Analysis and Visualization for Large widget components have been promoted to VTK, and new Climate and Geospatial Datasets ...........................................
    [Show full text]
  • An Empirical Case Analysis on the Vendor Products with Electronic
    Journal of Xi'an University of Architecture & Technology Issn No : 1006-7930 An Empirical Case Analysis on the Vendor Products with Electronic Health Records on Global Perspectives Ali Fahem Neamah Computer science and IT faculty, wasit university Iraq [email protected] Abstract The maintenance and logging in the health records is always required so that the overall predictive mining can be done on the patient records. In addition, the recording and maintenance of electronic health records is quite mandatory whereby the digital repository related to the patient is very important so that the future based predictions and the analytics can be retained. In addition to this, the patient records are providing the medical practitioners the higher degree of accuracy in the predictions and the aspects related to the knowledge discovery about that particular patient to have the effectiveness. By this way, the overall medical records can be maintained. In this research manuscript, the enormous tools and the vendors are presented usable for the electronic health records. The presented work is having the cavernous analytics on the vendor products associated with the electronic health records whereby the global perspectives and data analytics are cited. Keywords:Electronic Health Records, EHR, EMR, Electronic Medical Records Introduction Electronic Health Records (EHR) as well as Electronic Medical Records (EMR) are very important for the integration of records associated with the patients so that the overall records can be maintained about the specific set of patients [1, 2]. There are assorted suites and libraries for the electronic health and medical records thereby the medical records are logged for the future usage [3, 4, 5].
    [Show full text]